| NPI | 1336802131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4683) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMT3056) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-12-13 |