| NPI | 1114605243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5474) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH27277) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2026-06-10 |