| NPI | 1174052377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4182) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: FL MT4182) |
| 101YM0800X Counselor, Mental Health (Licence: FL MT4182) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-05-22 |