| NPI | 1669953931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 220) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5800) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2022-04-21 |