| NPI | 1568872406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10584) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: NC 9079A) | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-01-29 |