| NPI | 1962756486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006992) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2014-06-19 |