| NPI | 1073556585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT56) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH67) |
| 103TS0200X Psychologist, School (Licence: FL SS23) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-08-17 |