| NPI | 1851578470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA CW017270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW011532L) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2018-05-18 |