| NPI | 1093143554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT5113) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2025-03-10 |