| NPI | 1720679988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA LMFT5000590) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2024-05-20 |