| NPI | 1386841369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 735) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT 735) |
| 106H00000X Marriage & Family Therapist (Licence: MT 735) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2015-07-15 |