| NPI | 1518403807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2804) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH 11836) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |