| NPI | 1295596732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT4320) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2026-03-13 |