| NPI | 1962155929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AMFT142382) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: APCC15004) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-11-08 |