| NPI | 1578387171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC019994) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA APC000427) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2026-02-10 |