| NPI | 1053465245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 56) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0032) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2025-09-11 |