| NPI | 1235702705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 7434) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1276) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-12-27 |