| NPI | 1407878309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8261) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1999) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2012-08-10 |