| NPI | 1891342804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011832) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC014016) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-12-12 |