| NPI | 1811391089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 232828922) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA 101ym0800x) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |