| NPI | 1467401422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 1225) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL L134) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |