| NPI | 1053358317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC001724) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2110) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |