| NPI | 1285056010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW8957) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL SW8957) |
| 101YP2500X Counselor, Professional (Licence: FL SW8957) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW8957) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2021-04-13 |