| NPI | 1518738343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 2376-124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7735-226) |
| 101YM0800X Counselor, Mental Health (Licence: WI 1074-228) | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2025-10-02 |