| NPI | 1356756415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0012619) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY P85249) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2016-05-04 |