| NPI | 1255484697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005801) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3777-125) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-08-26 |