| 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 |