| NPI | 1396992798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1441) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A812) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2013-06-26 |