| NPI | 1902488851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS 000087) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS T0083) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |