| NPI | 1760893796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007322) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH000711) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-01-18 |