| NPI | 1467695841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13675) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11542) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF57663) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-09-30 |