| NPI | 1992047542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006850) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01080800) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC006850) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2025-06-16 |