| NPI | 1487047445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL IMH12027) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2058) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2016-02-24 |