| NPI | 1417425984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MFT.0001943) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0108501) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2023-05-12 |