| NPI | 1396936720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2140) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH 8480) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2012-01-18 |