| NPI | 1689370975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC015170) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-11-03 |