| NPI | 1174856900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC8178) |
| 106H00000X Marriage & Family Therapist (Licence: MA LMFT1520) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2025-11-03 |