| NPI | 1164915229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018656) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC6960) |
| 101YP2500X Counselor, Professional (Licence: MD LC16818) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC01203300) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2026-01-27 |