| NPI | 1649651738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC008232) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA 1649651738) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-04-30 |