| NPI | 1619758935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-10542) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC015542) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2024-09-26 |