| NPI | 1245642404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A10427) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 9019A) |
| 106H00000X Marriage & Family Therapist (Licence: SC 5762) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |