| NPI | 1013373463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 00207) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 00693) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-11-17 |