| NPI | 1730248576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 444) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 2170) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2025-09-11 |