| NPI | 1902497605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 003071) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 101YP2500X) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2026-05-20 |