| NPI | 1972019768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2233) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13542) |
| 106H00000X Marriage & Family Therapist (Licence: NC 12067A) | |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2023-12-02 |