| NPI | 1457980187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000643) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DE 0000040) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2025-01-02 |