| NPI | 1629216155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 144) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 979) |
| 101YP2500X Counselor Professional (Licence: NE 4050) | |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2023-08-10 |