| NPI | 1073028759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0016497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 106596) |
| 106H00000X Marriage & Family Therapist (Licence: CA 106596) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2021-11-12 |