| NPI | 1427833599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 000001257) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000001257) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-05-16 |