| NPI | 1063746022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 7939) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 6079A) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2010-06-29 |