| NPI | 1730381740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005336) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 1514) |
| 101YP2500X Counselor, Professional (Licence: KY KY-0196) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2009-10-30 |