| NPI | 1336606821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 247200000X Technician, Other |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2025-10-14 |