| NPI | 1659471779 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 2100) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 3832) | 
| Enumeration Date | 2006-09-25 | 
| Last Update Date | 2025-09-11 |