| NPI | 1003967647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 736) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 584) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-10-23 |