| NPI | 1336429935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC C007328) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC C007328) |
| 1041C0700X Social Worker Clinical (Licence: NC C007328) | |
| 106H00000X Marriage & Family Therapist (Licence: NC C007328) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2020-06-15 |