| NPI | 1548869019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0010108) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001200) |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2022-11-18 |