| NPI | 1679452072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5215) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM1175) |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2026-05-04 |