| NPI | 1518508431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT0000029) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000690) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-10-05 |