| NPI | 1336420322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC014777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH001906) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2023-01-04 |