| NPI | 1366693780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 000306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 000306) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2011-06-01 |