| NPI | 1972899755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL mt2902) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8568) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2017-10-16 |