| NPI | 1326405168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 101YP2500X) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 101YA0400X) |
| 106H00000X Marriage & Family Therapist (Licence: ND 106H00000X) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |