| NPI | 1548230956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SD 2022) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD 1080) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |