| NPI | 1790121093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2770) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MT-2770) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-04-27 |