| NPI | 1629569611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001515) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3890) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-09-12 |