| NPI | 1639800907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001384) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 20030) |
| Enumeration Date | 2022-06-18 |
| Last Update Date | 2024-07-29 |