| NPI | 1386849420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH1783) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1309) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-09 |