| NPI | 1588078349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC007595) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA 173-025-9904) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |