| NPI | 1225864937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL A348) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL ALC04870) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |