| NPI | 1730993973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LGM1205) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2026-06-02 |