| NPI | 1851136428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 37AC00653900) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 37FA00037100) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |