| NPI | 1023429503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05822400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW020515) |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2024-12-26 |