| NPI | 1871857524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14612) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006378) |
| 101YP2500X Counselor, Professional (Licence: DE PC-0000618) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-07-21 |