| NPI | 1790024149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PC006218) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00449800) |
| 101YP2500X Counselor, Professional (Licence: PA PC06218) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2024-09-30 |