| NPI | 1831224393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14875) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3589) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-03-17 |