| NPI | 1962178533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC016531) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01054000) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-07-31 |