| NPI | 1215206115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0823 MFT) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: CA 242158- Lic. min.) |
| 101YP2500X Counselor, Professional (Licence: NC NCC-266910) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401000336-LPC) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |