| NPI | 1336395441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4369) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15994) |
| 101YP2500X Counselor, Professional (Licence: GA LPC008427) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701004410) | |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2022-05-22 |