| NPI | 1629769294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016852) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE MI-0000296) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC6553) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2026-02-08 |