| NPI | 1285646133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 489LCPC) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 126) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-12-12 |