| NPI | 1104546423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19538) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT5112) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-02-24 |