| NPI | 1881662559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6791) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1922) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |