| NPI | 1851820120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 17694) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-08-31 |