| NPI | 1477209252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health (Licence: PA PC013895) | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2025-08-13 |