| NPI | 1740810555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 3156) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114935) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2021-09-21 |