| NPI | 1538744057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15368) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4171) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2025-04-14 |