| NPI | 1114370384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9697) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1701) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-11-01 |