| NPI | 1043992647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018993) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA APC000464) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0021002) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-07-29 |