| NPI | 1639969975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 20766) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701015697) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2026-01-23 |