| NPI | 1740903863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12463A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 12463A) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-10-13 |