| NPI | 1508952102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA SW125016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P018338) |
| 101YM0800X Counselor, Mental Health (Licence: NY 069571-1) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-12-11 |