| NPI | 1164016044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16380) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH16380) |
| 101YP2500X Counselor, Professional (Licence: MH16380) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3704) | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-03-03 |