| NPI | 1689410516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2716) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 2716) |
| 106H00000X Marriage & Family Therapist (Licence: LA 734) | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |