| NPI | 1316145105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PR 1357) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH10528) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3380) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-01-02 |