| NPI | 1598112815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0544) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 3139) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2021-10-26 |