| NPI | 1295937217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1289) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NH 930) |
| 106H00000X Marriage & Family Therapist (Licence: NH 107) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-04-13 |