| NPI | 1811384761 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1909)  | 
| Enumeration Date | 2015-04-17 | 
| Last Update Date | 2025-02-11 |