| NPI | 1427595396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH9975) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2595) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |