NPI | 1114516820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001270) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 122284) |
Enumeration Date | 2021-01-16 |
Last Update Date | 2024-06-21 |