| NPI | 1144066895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH19362) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4094) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |