| NPI | 1821409970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 16123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 18339) |
| 101YP2500X Counselor, Professional (Licence: CA PCCI2154) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 35002353A) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 105969) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2025-07-30 |