| NPI | 1255539219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LCO344) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 106H00000X Marriage & Family Therapist (Licence: MD LCM060) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-03-11 |