| NPI | 1982125613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC4861) |
| 101YP2500X Counselor, Professional (Licence: OH E.2505044) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC01121800) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-06-23 |