| NPI | 1386736734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4508) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4755) |
| 106H00000X Marriage & Family Therapist (Licence: SC 4535) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-03-07 |