| NPI | 1164026167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH19803) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2609) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-11-02 |