| NPI | 1306266895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 3252) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 397) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |