| NPI | 1598971996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH11104) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH11104) |
| 101YP2500X Counselor Professional (Licence: FL MH11104) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MH11104) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-05-25 |