| NPI | 1669733622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11426) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC011861) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-02-05 |