| NPI | 1336570258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14276) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3189) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2017-10-30 |