| NPI | 1568761252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8338) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC003090) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2021-09-08 |