| NPI | 1578182663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC015330) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-07-28 |