| NPI | 1669626297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0146921) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC000657) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2019-12-30 |