| NPI | 1487942348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 10657) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 140) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2015-02-06 |