| NPI | 1558825018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2023-08-10 |