| NPI | 1336702653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001391) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 127030) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2026-01-06 |