| NPI | 1629269212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1168) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 5387) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2011-04-20 |