| NPI | 1366780421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC013231) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00490200) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00033400) | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2024-03-13 |