| NPI | 1316171770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13983) |
| 106H00000X Marriage & Family Therapist (Licence: FL IM3643) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2024-10-03 |