| NPI | 1891550315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 10427A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-08-02 |