| NPI | 1104002062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC 6312) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42392) |
| 101YM0800X Counselor, Mental Health (Licence: MA 6312) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2020-01-14 |