| NPI | 1881059616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16634) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 14153) |
| 106H00000X Marriage & Family Therapist (Licence: FL IMT 2417) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2019-02-19 |