| NPI | 1194917146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC - 3007) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT - 3072) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |