| NPI | 1235945429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC10167) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA PLM1544) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |