| NPI | 1902313083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH19447) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2971) |
| 251B00000X Case Management | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-05-21 |