| NPI | 1659671592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC009755) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC200002379) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2025-09-29 |