| NPI | 1609295732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC013364) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC013364) |
| 101YP2500X Counselor, Professional (Licence: TX 72032) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-02-27 |