| NPI | 1407020688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000378) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103T00000X Psychologist (Licence: MA 2637) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |