| NPI | 1235293242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD LMFT) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2011-05-05 |