| NPI | 1033886346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4116) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL 1276829) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |