| NPI | 1346640547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6387) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 5929) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2016-09-20 |