| NPI | 1316399892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT2057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 50763) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-01-28 |