| NPI | 1396912259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School (Licence: PA 2599007842) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2013-01-10 |