| NPI | 1578745758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MFA000870) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO CS001125) |
| 101YP2500X Counselor, Professional (Licence: PA PC007008) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2017-03-10 |