| NPI | 1912767500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 8341154) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID MFTI-9413) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-07-30 |