| NPI | 1013217405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL mt1770) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT1770) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2011-02-23 |