| NPI | 1932194073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2368) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2025-06-16 |