| NPI | 1801149232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA MF000691) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW009497L) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |