| NPI | 1114619269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4645) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL MT4645) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2025-03-13 |