| NPI | 1124326418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005540) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0904005540) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |