| NPI | 1790517670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT5009) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-03-10 |