| NPI | 1720697915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17486) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-08-01 |