| NPI | 1386787752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC Psychoanalyst) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 802) |
| 106H00000X Marriage & Family Therapist (Licence: NC 610) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC31084) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |