| NPI | 1083231054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC014682) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC014682) |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-12-29 |