| NPI | 1760196414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00442000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC017812) |
| 101YM0800X Counselor, Mental Health (Licence: DE PC-0011888) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-09-03 |