| NPI | 1548595168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 142) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 1989) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2023-01-03 |