| NPI | 1154537397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000293) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC002593) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2009-09-11 |