| NPI | 1003160946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 13260) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A13260) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2023-03-16 |