| NPI | 1649090580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 24637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC018273) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH23586) | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2026-03-03 |