| NPI | 1184820946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 7384) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-03-26 |