| NPI | 1801856042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1325) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 1929) |
| 106H00000X Marriage & Family Therapist (Licence: SC 1644) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-11-21 |