| NPI | 1548552763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: 001397) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 00197) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2023-09-05 |