| NPI | 1982188140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3478) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MT3478) |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2018-10-08 |