| NPI | 1972379865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 25024) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-12-09 |