| NPI | 1710317334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001442) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 23-2999939) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2022-09-12 |