| NPI | 1154460475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7202) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1328) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-12-07 |