| NPI | 1225448558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 101YS0200X Counselor School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |