| NPI | 1770326175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL I-126) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL ALC04738) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |