| NPI | 1770585481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 737) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1638) |
| 106H00000X Marriage & Family Therapist (Licence: MA MF737) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2024-02-27 |