| NPI | 1912498320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 117636) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2022-07-26 |