| NPI | 1649665332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3332) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2025-08-26 |