| NPI | 1588315709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC014086) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC041086) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-02-24 |