| NPI | 1992335608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 2022) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93343) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2025-11-03 |