| NPI | 1275256794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK LMFTCANDIDATE12302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LMFTCANDIDATE12302) |
| 101YP2500X Counselor, Professional (Licence: OK LMFTCANDIDATE12302) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2025-09-17 |