| NPI | 1063548956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 2193) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 471) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-09-01 |