| NPI | 1851941231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22661) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL PMT310) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-11-19 |