| NPI | 1881101970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00903800) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC012245) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2024-06-10 |