| NPI | 1063034981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37p00663700) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00663700) | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2024-11-29 |