| NPI | 1033247051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 001869) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 001869) |
| 101YM0800X Counselor, Mental Health (Licence: MO 001869) | |
| 101YP2500X Counselor, Professional (Licence: MO 001869) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-08-08 |