| NPI | 1124130158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT 1236LCPC) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC36003) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |