| NPI | 1770660276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC003539) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC003539) |
| 101YP2500X Counselor, Professional (Licence: PA PC003539) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-02-16 |