| NPI | 1508206384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 372600000X Adult Companion | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2022-01-25 |