| NPI | 1659313740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7798) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC005221) |
| 101YP2500X Counselor, Professional (Licence: MD LC7798) | |
| 101YP2500X Counselor, Professional (Licence: PA PC005221) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-02-27 |