| NPI | 1891298568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-18354) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC009268) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2025-07-10 |