| NPI | 1144183195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 20888A) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC LCAS-31154) |
| Enumeration Date | 2025-12-06 |
| Last Update Date | 2025-12-06 |