| NPI | 1477848075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10179) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2023-04-18 |