| NPI | 1508371527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC015177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0012054) |
| 101YM0800X Counselor, Mental Health (Licence: OR C9721) | |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0135358TELE) | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2026-04-28 |