| NPI | 1780136366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003831A) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2021-06-22 |