| NPI | 1487804985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4501) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 4849) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-24 |