| NPI | 1508241530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker (Licence: FL CBHCMS101096) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-08-26 |