| NPI | 1194339267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4266) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL L480) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2024-01-24 |