| NPI | 1649339896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH6694) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL CAP 2889) |
| 106H00000X Marriage & Family Therapist (Licence: FL IMT 218) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-07-21 |