| NPI | 1689459059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |