| NPI | 1316356488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 12599) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2901) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2024-01-15 |