| NPI | 1104157528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: FL 13423) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 13423) |
| 106H00000X Marriage & Family Therapist (Licence: FL 13423) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |