| NPI | 1295386183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 208) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2848) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2026-01-28 |