| NPI | 1467693853 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10137)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2438)  | 
| Enumeration Date | 2009-03-13 | 
| Last Update Date | 2022-09-27 |