| NPI | 1346668308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 3598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15927) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2019-02-11 |