| NPI | 1659523595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 876) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1789) |
| 106H00000X Marriage & Family Therapist (Licence: NE 135) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2011-07-25 |