| NPI | 1871232116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 4171) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-10-14 |