| NPI | 1164506846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6211) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH6211) |
| 101YP2500X Counselor, Professional (Licence: FL MH6211) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-04-15 |