| NPI | 1326339185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 7057A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 7057A) |
| 101YM0800X Counselor, Mental Health (Licence: NC 7057A) | |
| 101YP2500X Counselor, Professional (Licence: NC 7057A) | |
| 101YS0200X Counselor, School (Licence: NC 7057A) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |