| NPI | 1477347375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00896200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC014013) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |