| NPI | 1255715553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA PC011697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: NJ LAC37AC00272100) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2021-01-21 |