NPI | 1528383817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC004773) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC004773) |
101YP2500X Counselor, Professional (Licence: PA PC004773) | |
Enumeration Date | 2010-03-30 |
Last Update Date | 2012-12-16 |