| NPI | 1396934295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND LPC-1045-12-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC-178) |
| 101YM0800X Counselor, Mental Health (Licence: MT LCPC-1286) | |
| 106H00000X Marriage & Family Therapist (Licence: MT LMFT-84) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2022-02-24 |