| NPI | 1043515901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 98) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 439) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1947) | |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |