| NPI | 1831683796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 00961) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002682) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2026-07-09 |