| NPI | 1659882025 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006966) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2017-10-12 | 
| Last Update Date | 2017-10-12 |