| NPI | 1215473434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT BBH-LCPC-LIC-24565) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC-22884) |
| 106H00000X Marriage & Family Therapist (Licence: MO 2018038156) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2020-08-27 |