| NPI | 1942479332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1665) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP1934) |
| 101YM0800X Counselor, Mental Health (Licence: FL MHC4945) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2010-07-26 |