| NPI | 1518746239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016104) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC016104) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC016104) | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-10-31 |