NPI | 1568702066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006781) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2013-02-20 |
Last Update Date | 2013-05-06 |