| NPI | 1760183289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 5180) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 8341156) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2025-03-14 |