| NPI | 1851638191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2742) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH 11555) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |