| NPI | 1235363938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4262) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1944) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-003433-2014) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2015-05-26 |