| NPI | 1861006157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC012475) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 3468) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2024-11-08 |