| NPI | 1205432341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5178) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT3406) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2025-08-26 |