NPI | 1518337609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009742) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH002812) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2020-11-18 |