| NPI | 1831273275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2553) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 929) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-05-21 |