| NPI | 1417844887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA SW138796) |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |