NPI | 1942776349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: PA 63205) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA 63205) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2018-10-23 |