| NPI | 1720778632 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC019081) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YM0800X Counselor, Mental Health (Licence: PA APC000351) | |
| Enumeration Date | 2023-05-12 | 
| Last Update Date | 2025-08-08 |