| NPI | 1568989697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 17790) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 3809) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |