| NPI | 1558538439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1509) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 1509) |
| 101YP2500X Counselor, Professional (Licence: MA 1509) | |
| 101YS0200X Counselor, School (Licence: MA 1509) | |
| 106H00000X Marriage & Family Therapist (Licence: MA 1509) | |
| 174400000X Specialist | |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2008-05-10 |