| NPI | 1609588813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017368) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC01151600) | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2026-05-06 |