| NPI | 1619577251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00759900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC014624P) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2023-02-10 |