| NPI | 1891495818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 01661) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 8214) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2026-03-01 |