| NPI | 1942803762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC007277) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: PA 6217067) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-10-02 |