| NPI | 1689844367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000539) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 42130) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2009-04-08 |