NPI | 1124709084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC015963) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC015963) |
101YP2500X Counselor, Professional (Licence: PA PC015963) | |
Enumeration Date | 2023-07-25 |
Last Update Date | 2023-07-25 |