| NPI | 1174116016 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4813) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23542) | 
| Enumeration Date | 2021-02-11 | 
| Last Update Date | 2025-08-13 |