| NPI | 1801939897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 4531) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4531) |
| 1041C0700X Social Worker, Clinical (Licence: LA 4531) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-09-11 |