NPI | 1679742878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004265) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA PC004265) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2013-06-06 |