| NPI | 1669518528 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2051) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201283) | 
| Enumeration Date | 2007-01-29 | 
| Last Update Date | 2025-09-11 |