| NPI | 1205962255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 001239) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 300064) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-01-29 |