NPI | 1376536102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 1867) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 6477) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2025-09-11 |