| NPI | 1629549746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: T1908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C5631) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-10-31 |