| NPI | 1013441211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2020-02-10 |