| NPI | 1548015324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC018325) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: PA PC018325) | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2025-03-18 |