| NPI | 1679866982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1835) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000949) |
| 106H00000X Marriage & Family Therapist (Licence: PA MF000993) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2022-04-10 |