| NPI | 1467627091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 1670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 4952) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |