| NPI | 1790590313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 10045A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 10045A) |
| 103T00000X Psychologist (Licence: NC 10045A) | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |