| NPI | 1598883241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8722) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2194) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-03-28 |