| NPI | 1558407478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2000175177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2000175177) |
| 106H00000X Marriage & Family Therapist (Licence: MO 2000175177) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-02-10 |