| NPI | 1316657356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 115968) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 115968) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-12-04 |