| NPI | 1891235297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC009397) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001369) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2024-08-08 |