| NPI | 1457660805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT 1660) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL Mt 1660) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT 1660) | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2020-03-20 |