| NPI | 1477621647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1308) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 6124) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-09-22 |