| NPI | 1376822338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1511) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2016-04-01 |