| NPI | 1447815113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3629) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH16287) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |