| NPI | 1306035787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 10072) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2013-08-26 |