| NPI | 1659796415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MFT. Intern IMT 431) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |