| NPI | 1255913687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015275) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH001597) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2026-03-12 |