| NPI | 1629288220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12776) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004461) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-02-15 |