| NPI | 1881104214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3917) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMT2746) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2020-10-14 |