| NPI | 1578369278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01162300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC019466) |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2025-10-07 |