| NPI | 1902336928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2025-08-19 |