| NPI | 1578962841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA LPC PC 002041) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA LMFT MF 000122) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |