| NPI | 1508290578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13830) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11413) |
| 106H00000X Marriage & Family Therapist (Licence: FL IMT1941) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2021-07-26 |