| NPI | 1811276108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 17490) |
| 106H00000X Marriage & Family Therapist (Licence: PA MF000802) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-08-21 |