| NPI | 1275149148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3938) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22158) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166012166) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2026-05-29 |