| NPI | 1164154761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK LMFTCANDIDATE13165) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK LMFTCANDIDATE13165) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2026-07-10 |