| NPI | 1306612130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4807) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2025-10-07 |