| NPI | 1518402338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2826) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 328) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |