| NPI | 1184059487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 3758) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 3550) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |