| NPI | 1619203544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1498) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 8303) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2018-05-02 |