| NPI | 1639843188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4281) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MT4281) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2024-09-27 |