| NPI | 1770889909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4477) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 101YM0800X Counselor, Mental Health (Licence: FL MT4477) | |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2026-07-12 |