| NPI | 1639476005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006219) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC006219) |
| 101Y00000X Counselor (Licence: TX 65242) | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2024-11-03 |