| NPI | 1629358072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT1785) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1785) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2024-06-06 |