| NPI | 1649480419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1376) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: FL mt1376) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-09-11 |