| NPI | 1881628469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC004216) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 3880) |
| 225C00000X Rehabilitation Counselor (Licence: 12561) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-03-04 |