| NPI | 1700663556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4469) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12835) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-07-05 |