| NPI | 1134351042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 2603) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2023-12-01 |