| NPI | 1760639454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2027) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MT 2027) |
| 101YM0800X Counselor Mental Health (Licence: FL MT 2027) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2009-10-29 |