NPI | 1366928897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009790) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH24861) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2025-09-06 |