| NPI | 1770632788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3573) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1566) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2025-09-11 |