| NPI | 1124497607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000860) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC008196) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2017-09-28 |