| NPI | 1407102197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1786-MH-MF) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1786-MH-MF) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-05-17 |