| NPI | 1538125141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0620) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 102804) |
| 106H00000X Marriage & Family Therapist (Licence: NM 1551) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-07-08 |