| NPI | 1962279562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016517) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011584) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2026-08-03 |