| NPI | 1275942179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003312A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99391) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2018-08-15 |