| NPI | 1689138240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4010) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH18948) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2023-02-10 |