| NPI | 1659497469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 1578) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW1907) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT1750) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |