NPI | 1487229159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC012875) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC012875) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2023-02-08 |