| NPI | 1811295959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MT2998) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 222Q00000X Developmental Therapist | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2998) | |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2015-03-09 |