| NPI | 1770366247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA AA0004751419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC016174) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2025-02-25 |