NPI | 1912281445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC007579) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10865) |
Enumeration Date | 2011-10-03 |
Last Update Date | 2016-06-21 |