| NPI | 1861735342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 11658) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MH 11658) |
| 101YP2500X Counselor, Professional (Licence: FL MH 11658) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2018-03-17 |