| NPI | 1922854207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61645708) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLC10116) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2025-03-10 |