| NPI | 1053862722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC011552) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00765400) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2021-12-14 |