| NPI | 1326162751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 847) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 3502) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-09-11 |