| NPI | 1083824015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC0214) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM045) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000340) | |
| 106H00000X Marriage & Family Therapist (Licence: DE FT0000004) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |