| NPI | 1619292885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 05938) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC005461) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2022-11-03 |