| NPI | 1508136987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9080) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1568) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |