| NPI | 1972757011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA MF000219) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2023-05-15 |