NPI | 1538895479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC14639) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC14639) |
Enumeration Date | 2022-07-25 |
Last Update Date | 2023-02-01 |