| NPI | 1316477755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC010143) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC10221) |
| 101YP2500X Counselor, Professional (Licence: MD LC10221) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701013558) | |
| 101YP2500X Counselor, Professional (Licence: PA PC010143) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2025-10-22 |