| NPI | 1568333409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 2253) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 7959) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-10-31 |