| NPI | 1982086203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 19335) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3342) |
| 106H00000X Marriage & Family Therapist (Licence: TN 1281) | |
| 106H00000X Marriage & Family Therapist (Licence: FL 4102) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-04-09 |