| NPI | 1093339988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00854500) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC010737) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2023-02-07 |