| NPI | 1356502165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS 0799) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0220) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |