| 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 | 2021-08-20 |