| NPI | 1639557051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC008168) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009692) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |