| NPI | 1689203549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT4289) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT3281) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT4289) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2023-12-19 |