| NPI | 1619108214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000882) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR N/A) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2024-04-22 |