| NPI | 1568788057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 409) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |