| NPI | 1972459956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA APC001561) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: PA CCHW16616) |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-04-08 |