| NPI | 1417166141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000594-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000228) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |