NPI | 1821420787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC006717) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006717) |
Enumeration Date | 2013-08-02 |
Last Update Date | 2024-03-05 |