| NPI | 1467199158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4361) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 21284) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2026-08-30 |