| NPI | 1851118095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TF0000X Psychologist Family | |
| 103TS0200X Psychologist School | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |