| NPI | 1457688046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1257) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 887) |
| 106H00000X Marriage & Family Therapist (Licence: NE 62) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |