| NPI | 1588152904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 105471) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 4911) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2021-04-22 |