| NPI | 1871169425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MT4802) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-11-29 |