| NPI | 1619207826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3171) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 23196) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP100010) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 000781) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2017-07-18 |