| NPI | 1568999878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC013506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 10621) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2026-06-15 |