| NPI | 1124383047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1572) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2024-01-08 |