| NPI | 1629795562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MS 2266) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0476) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2023-03-10 |