| NPI | 1508185224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL LMHC 9138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL LMHC 9138) |
| 101YM0800X Counselor, Mental Health (Licence: FL 101YP1600X) | |
| 101YM0800X Counselor, Mental Health (Licence: FL 9138) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |