| NPI | 1912206756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1738) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ 10344) |
| 106H00000X Marriage & Family Therapist (Licence: AZ 10344) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2022-04-27 |