| NPI | 1205009255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 4384) |
| 101Y00000X Counselor | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2014-04-13 |