| NPI | 1710395629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD LPC-MH30504) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD LMFT1231) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-12-14 |