| NPI | 1134917495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA SW142601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 091787) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |