| NPI | 1093336588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC012097) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC012097) |
| 101YM0800X Counselor Mental Health (Licence: PA PC012097) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA PC012097) | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |