| NPI | 1811348188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3713) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: FL MH16787) | |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH15564) | |
| 101YP2500X Counselor, Professional | |
| 103TR0400X Psychologist, Rehabilitation | |
| 106H00000X Marriage & Family Therapist (Licence: FL IMT2652) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-11-07 |