| NPI | 1679047286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC016225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC200001816) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2024-09-23 |