| NPI | 1710267851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 5403) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1759) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2011-08-21 |