| NPI | 1528729704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA MFT1426) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC8542) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-11-30 |