| NPI | 1700146560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3002) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CBHCMS100807) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2019-06-03 |