| NPI | 1730570508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA pc007933) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC007993) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00786100) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2022-08-04 |