| NPI | 1831406180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 7018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5301) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT 2375) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 63179) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |