| NPI | 1255812624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008435) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CCMH0201901) |
| 106H00000X Marriage & Family Therapist (Licence: NM CMF0197861) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001348) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2026-06-29 |