| NPI | 1285952481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC LMFT#1129) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL LMHC#1872) |
| 106H00000X Marriage & Family Therapist (Licence: FL LMFT#1795) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |