| NPI | 1689002057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009013) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006670) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2022-01-11 |