| NPI | 1740653989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AK 230486) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60946487) |
| 106H00000X Marriage & Family Therapist (Licence: CA 79410) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2025-09-18 |