| NPI | 1558093260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 002936) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 2696) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2026-04-12 |