| NPI | 1508665217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 3975) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DE FT-0010173) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT5325) | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-12-11 |