| NPI | 1831698414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010119) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst (Licence: PA BH003593) | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-03-17 |