| NPI | 1013533660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 05064) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL A240) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-11-07 |