| NPI | 1861401770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 569) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 2260) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2025-06-25 |