| NPI | 1376615328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC NCC3323) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC NCLMFT404) |
| 1041C0700X Social Worker, Clinical (Licence: NC c000089) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |