| NPI | 1245268358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000096) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA MF000096) |
| 101YP2500X Counselor, Professional (Licence: PA MF000096) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-12-20 |