| NPI | 1558668186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2868) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002129) |
| 106H00000X Marriage & Family Therapist (Licence: TX 205015) | |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002752) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2026-06-25 |