| NPI | 1346275807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 3349) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 17082) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |