| NPI | 1568044782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC015753P) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2023-11-29 |