| NPI | 1952681116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 09876-01) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005630) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2020-05-11 |