| NPI | 1427009133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 702) |
| 101YM0800X Counselor, Mental Health (Licence: CO 1703) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 415) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-01-12 |