| NPI | 1780493767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001258) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0001133) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |