| NPI | 1134324213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: SC 82) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 1186) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |