| NPI | 1568283828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 174H00000X Health Educator |
| 101Y00000X Counselor | |
| 101YP1600X Counselor Pastoral | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |