| NPI | 1497193726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3826) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001329) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2026-04-29 |