| NPI | 1376140681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11972) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 174757) |
| 106H00000X Marriage & Family Therapist (Licence: MD LCM846) | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2025-04-05 |