| NPI | 1528753555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC015343) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC015343) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-11-18 |