| NPI | 1255500120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH9295) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2959) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2017-01-06 |