| NPI | 1306274477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LPC A9285) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC LMFTA 8011A) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2022-02-22 |