| NPI | 1144254509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9931) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-11-01 |