| NPI | 1639328974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001240) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000910) |
| 101YM0800X Counselor, Mental Health (Licence: CT 001240) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2024-04-08 |