| NPI | 1356910285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2467) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 2467) |
| 101Y00000X Counselor (Licence: PA PC004636) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 2467) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC004936) | |
| 101YM0800X Counselor, Mental Health (Licence: WV 2467) | |
| 101YM0800X Counselor, Mental Health (Licence: PA PC004936) | |
| 101YP2500X Counselor, Professional (Licence: PA PC004936) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |