NPI | 1619198199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3354) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: FL MT3354) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2021-09-10 |