| NPI | 1336644467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000974) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001672) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-07-14 |