| NPI | 1912581968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4090) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMT2813) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2022-10-29 |