| NPI | 1912271396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA CW015199) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05296800) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2016-12-27 |