| NPI | 1194067249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015043407) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2014028627) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-08-24 |