| NPI | 1114572682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC011166) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PC011166) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-11-02 |