| NPI | 1376722041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1335) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 1335) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2015-01-16 |