| NPI | 1578224648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC014052) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC014052) |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2021-12-31 |