| NPI | 1518474675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC009486) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC009486) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2021-03-29 |