| NPI | 1477855336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010039179) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2014038233) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2016-09-24 |