| NPI | 1417150582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2345) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1235) |
| 103T00000X Psychologist (Licence: FL 7763) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-08-08 |