| NPI | 1912419821 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YP1600X Counselor, Pastoral (Licence: NH 258)  | |
| Enumeration Date | 2017-11-01 | 
| Last Update Date | 2024-12-19 |