| NPI | 1417362047 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 000173) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC14426) | 
| Enumeration Date | 2014-06-23 | 
| Last Update Date | 2019-06-03 |