| NPI | 1508008871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 2907) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 2929) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |