| NPI | 1942483268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC002566) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC002566) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2023-11-01 |