| NPI | 1720653041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21198) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC010401) |
| 101YP2500X Counselor, Professional (Licence: AZ PLC-21198) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-08-15 |