| NPI | 1629784319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 282792) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35002536A) |
| 106H00000X Marriage & Family Therapist (Licence: SC TLC.1886.MFT) | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2025-10-30 |