| NPI | 1174117857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC014820) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: PC014820) | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-07-31 |