| NPI | 1366615197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LPC 5546) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 38037) |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2008-04-13 |