| NPI | 1609451970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH18224) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT3141) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |