| NPI | 1114517372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 4151001015) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 11389) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717002135) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2026-01-27 |