| NPI | 1033458500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 8090A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A10189) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-06-04 |