| NPI | 1952000325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH24899) |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC10004943) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401225603) | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2025-10-09 |