| NPI | 1174666069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LPC 414) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC LMFT 421) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-06-22 |