| NPI | 1174697916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LCA202) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD LCA202) |
| 101YM0800X Counselor Mental Health (Licence: MD LCA202) | |
| 101YP2500X Counselor Professional (Licence: MD LCA202) | |
| 106H00000X Marriage & Family Therapist (Licence: MD LCA202) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |