| NPI | 1104181809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2905) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12629) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2014-06-13 |