| NPI | 1477083376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4422) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001849) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-12-26 |