| NPI | 1063738375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017016839) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 22679) |
| 101Y00000X Counselor (Licence: MO 2017016839) | |
| 101YM0800X Counselor, Mental Health (Licence: MS 22678) | |
| 106H00000X Marriage & Family Therapist (Licence: MS 22678) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2019-06-11 |