| NPI | 1306094180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5484) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1276) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2010-06-16 |