| NPI | 1225180219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC003490) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-05-07 |