NPI | 1023377553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001091) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2012-05-03 |
Last Update Date | 2025-04-23 |