| NPI | 1043412042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH0005080) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH0005080) |
| 106H00000X Marriage & Family Therapist (Licence: FL MH0005080) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2009-03-05 |