| NPI | 1952015208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 10353) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002549) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2025-11-21 |