| NPI | 1568655512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 1331) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 1330) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |