| NPI | 1104565415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 803) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-05-07 |