| NPI | 1164870648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3325) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1138) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |