| NPI | 1750862280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 20455) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001712) |
| 106H00000X Marriage & Family Therapist (Licence: MD LCM1117) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 206009) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2025-08-02 |