| NPI | 1073845145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor Pastoral (Licence: 11290) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 64) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-10 |