| NPI | 1700948882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 2945) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1837) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-12-04 |