| NPI | 1831260264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10010) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002605) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2017-02-03 |