| NPI | 1497807200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8248) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH8248) |
| 106H00000X Marriage & Family Therapist (Licence: FL MH 8248) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-05-18 |