| NPI | 1609504661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC019143P) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03907) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180016545) | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2025-09-09 |