| NPI | 1306672605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA SW133035) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SW133035) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |