| NPI | 1225143605 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 79) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 1664) | 
| Enumeration Date | 2006-08-19 | 
| Last Update Date | 2025-09-11 |