| NPI | 1497973770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1288) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2003025232) |
| 106H00000X Marriage & Family Therapist (Licence: MO 2002017783) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-11-28 |