| NPI | 1770357170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-71673) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 139588) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-08-21 |