| NPI | 1376884114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA pc006688) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001350-1) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2025-12-04 |