| NPI | 1558760157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3068) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 3068) |
| 101YM0800X Counselor, Mental Health (Licence: AL 3068) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2025-12-17 |