| NPI | 1306542881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor, Professional | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2026-02-09 |