| NPI | 1235996331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC019263) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP14892) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LGA3361) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LGP14892) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-09-10 |