| NPI | 1821652322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC015595) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL IMH24347) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2025-02-17 |