| NPI | 1144708959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA MF001666) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37FI00226600) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-12-09 |