| NPI | 1942467956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113328) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00303) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2025-06-16 |