| NPI | 1831183979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1897) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH6563) |
| 101YM0800X Counselor Mental Health (Licence: FL MH6563) | |
| 101YP2500X Counselor Professional (Licence: FL MH6563) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2024-05-29 |