| NPI | 1215242482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-082) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC0391) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 27320) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |