NPI | 1598234692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001490) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: FL MT3321) | |
Enumeration Date | 2018-11-19 |
Last Update Date | 2024-02-19 |