| NPI | 1841754744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2448) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12426A) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2025-10-17 |