| NPI | 1710124284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH1049) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT852) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |