| NPI | 1689182560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC013761) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC013761) |
| 101YM0800X Counselor Mental Health (Licence: PA PC013761) | |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2024-09-29 |