| NPI | 1174107783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 10000079) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2025-01-09 |