| NPI | 1992957047 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 1796) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 672) | 
| Enumeration Date | 2008-10-21 | 
| Last Update Date | 2025-10-05 |