| NPI | 1073659363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3437) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 000318) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-10-01 |