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 |