| NPI | 1356120323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2005007365) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2003018541) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |