| NPI | 1245186121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC020085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC7593.) |
| 101YP2500X Counselor, Professional (Licence: SC TLC2661PC) | |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-06-17 |