| NPI | 1730759325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 2385124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 772-228) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2025-08-05 |