| NPI | 1174418222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 39945) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW139490) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |