| NPI | 1356684641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 284) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: HI 237) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-11-12 |