| NPI | 1790923282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH-6839) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1660) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2013-12-16 |