| NPI | 1477366508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 151291) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 18174) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-02-03 |