| NPI | 1225841315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC0160165) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01100500) |
| 101YP2500X Counselor, Professional (Licence: PA PC0160165) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC01100500) | |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |