| NPI | 1023728029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015305) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA MH11666) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-05-09 |