| NPI | 1225685217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT0010097) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001387) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-06-12 |