| NPI | 1164047106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 17903) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 3816) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |