| NPI | 1477620979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 81) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1094) |
| 106H00000X Marriage & Family Therapist (Licence: NE 28) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-08-10 |