| NPI | 1831613777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14660) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2025-07-31 |