| NPI | 1104995166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |