| NPI | 1750548327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA MF001165) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-09-22 |