| NPI | 1275275026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT3648) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMT3648) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL IMT3648) | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |