| NPI | 1104357730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 14913) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 3274) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-05-18 |