| NPI | 1235797952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 2657) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001870) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2026-01-09 |