| NPI | 1740791615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PA009843) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009843) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-11-05 |