| NPI | 1861528614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA RN208483L) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN208483) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-03-17 |