| NPI | 1689121154 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 101YP2500X Counselor, Professional (Licence: PA PC009961)  | |
| Enumeration Date | 2016-09-01 | 
| Last Update Date | 2024-06-06 |