| NPI | 1225334972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC005238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: PA PC005238) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2023-10-18 |