| NPI | 1790969293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1088) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2220) |
| 101YP2500X Counselor, Professional (Licence: TN 2220) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2024-12-09 |