| NPI | 1841550407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1900) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-02-16 |