NPI | 1255930442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016488) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE CD-0010156) | |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-10-20 |
Last Update Date | 2025-08-29 |