| NPI | 1255966453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2021046503) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: KS 3112) | |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2024-02-23 |