| NPI | 1255848297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000977) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2023-03-22 |