| NPI | 1114917184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC 579) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 10112) |
| 106H00000X Marriage & Family Therapist (Licence: NC MFT 520) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 9293) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY 10112) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-08 |