| NPI | 1386199412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11429) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2740) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |