| NPI | 1275083214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3514) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH14295) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2019-05-20 |