| NPI | 1629321617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical (Licence: PA CW015540) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2021-12-17 |