| NPI | 1548297336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1248) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 5389) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-10-14 |