| NPI | 1407481195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2020013205) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 3145) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2022-01-01 |