| NPI | 1255641866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11367) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2712) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2013-11-27 |