| NPI | 1265956668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC010056) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC010056) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2024-11-03 |