| NPI | 1194150219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2014-01-23 |