| NPI | 1437835469 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2023-06-26 | 
| Last Update Date | 2023-06-26 |