| NPI | 1093148843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MC 10220) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MC 10220) |
| 106H00000X Marriage & Family Therapist (Licence: FL MC 10220) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |