| NPI | 1598053787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT-83) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH251) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |