| NPI | 1134627102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH17793) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2846) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2020-05-13 |