| NPI | 1891016994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA 09624196) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: PA 09624196) |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2010-06-13 |