| NPI | 1265748453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1969) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC1969) |
| 101YP1600X Counselor, Pastoral | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |