| NPI | 1265979009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001166) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2020-04-06 |