| NPI | 1053198952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000993) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |