| NPI | 1740234814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC002695) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000349) |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2007-07-08 |