| NPI | 1407288814 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-08-07 | 
| Last Update Date | 2013-10-19 |