| NPI | 1629493291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12403) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2882) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2018-09-10 |