| NPI | 1487495966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 10187) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA PLM1542) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2026-06-09 |