| NPI | 1134100027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT-2200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH-5573) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH-5573) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2015-02-02 |