| NPI | 1659930394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: PA MFT001357) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-08-25 |