| NPI | 1285785469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD LPC 587) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NCC 23163) |
| 106H00000X Marriage & Family Therapist (Licence: SD LMFT 1009) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |