| NPI | 1730320938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3323) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS100066) |
| 106H00000X Marriage & Family Therapist (Licence: FL IMT2276) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2024-01-18 |