| NPI | 1407303167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-03-17 |