| NPI | 1881225852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC013449) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 010116) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2024-04-16 |