| NPI | 1942782602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13501) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3701) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |