| NPI | 1548803448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM771) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LCM771) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001576) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-05-07 |