| NPI | 1881857423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor (Licence: PA BH000260) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-03-13 |