| NPI | 1861917650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 002719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 006885-1) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC007060) | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |