| NPI | 1063616969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA sw010896L) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA sw010896L) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2011-04-13 |