| NPI | 1912150426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000960) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202389) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2017-12-13 |