| NPI | 1255418323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1979) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-11 |