| NPI | 1124532601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT-4000) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 5928) |
| 103T00000X Psychologist (Licence: FL TPPY-152) | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2023-11-09 |