| NPI | 1710374087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5347) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2025-11-13 |