| NPI | 1336813005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 9030) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 9030) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2024-10-09 |