NPI | 1659497469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1750) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 1578) |
101YM0800X Counselor, Mental Health (Licence: FL SW1907) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2025-09-11 |