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 |