| NPI | 1568168151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC017081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021235) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2025-04-22 |