| NPI | 1053700831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16550) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3595) |
| 101Y00000X Counselor (Licence: CO LPC.0016476) | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2025-10-12 |