| NPI | 1295139947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: not yet licensed) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: VA not yet licensed) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |