| NPI | 1528517950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 423 LMFT) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC S2299) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |