| NPI | 1316156680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00728) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 00728) |
| 101YP2500X Counselor, Professional (Licence: IA 00728) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 00728) | |
| 106H00000X Marriage & Family Therapist (Licence: IA 00728) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-12-20 |