| NPI | 1528281417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 50705) |
| 101YM0800X Counselor, Mental Health (Licence: VT 100-0133998) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-02-28 |