| NPI | 1356747810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC019901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011415) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2026-08-05 |