| NPI | 1376944504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1047) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 327-228) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2016-09-26 |