| NPI | 1366541559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1374) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 1374) |
| 106H00000X Marriage & Family Therapist (Licence: MA 1374) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-05-12 |