| NPI | 1417109190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1245) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE 146) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2015-05-28 |