| NPI | 1386023950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16230) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMH 13057) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2021-10-02 |