| NPI | 1285121616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC016994) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC14902) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH14584) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-10-09 |