| NPI | 1962067652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LCPC-9186) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2024-10-02 |