| NPI | 1639233026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2275) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH6273) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-07-28 |