| NPI | 1437209657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 000993) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-03-12 |