| NPI | 1255414603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3309) |
| 101YM0800X Counselor, Mental Health (Licence: NE 961) | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2015-10-20 |