| NPI | 1952057648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 247200000X Technician, Other | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2024-08-29 |