| NPI | 1013958826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 1654) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 442) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-07-23 |