| NPI | 1477108355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC014442) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC014442) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-02-27 |