| NPI | 1447982954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12945) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7644) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3301) | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |