| NPI | 1023773777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC013933) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7229-125) |
| 101YM0800X Counselor, Mental Health (Licence: DE PC-0011403) | |
| Enumeration Date | 2021-11-07 |
| Last Update Date | 2024-03-26 |