| NPI | 1356557441 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH 5046) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1945) | 
| Enumeration Date | 2007-05-15 | 
| Last Update Date | 2025-09-11 |