| NPI | 1114623899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 101YM0800X) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 106H00000X) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |