| NPI | 1295469732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001382) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001050) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |