| NPI | 1093114431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 6208) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-5659) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-05-23 |