| NPI | 1023257367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7753) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 6020A) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2010-02-26 |