| NPI | 1508961699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC000119) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC000119) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA Certification#3933) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2025-09-11 |