| NPI | 1225497399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701012024) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC010469) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37AC00262500) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2023-04-17 |