| NPI | 1609764562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA PLM1593) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC10785) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |