| NPI | 1144252982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MFT415) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW850) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-09-11 |