| NPI | 1366104572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 21327A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12327A) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2026-06-30 |