| NPI | 1659608743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC003243) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC003243) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |