| NPI | 1215654868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 2168) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1436) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-11-02 |