| NPI | 1376203240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017989) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC017989) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC017989) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA PC017989) | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2024-12-17 |